Population Health Sciences Institute, Newcastle University, Newcastle, UK.
School of Geography, Politics and Sociology, Newcastle University, Newcastle, UK.
Sociol Health Illn. 2022 Feb;44(2):416-431. doi: 10.1111/1467-9566.13442. Epub 2022 Feb 6.
Dementia friendly communities are a priority for international policymaking aimed at tackling the social exclusion of people living with dementia. However, what constitutes a dementia friendly community is not well defined nor understood. In this article, we explore what constitutes the enactment of care in a dementia friendly community, focusing on commercial, leisure public places. Through qualitative interviews with carers in the North East of England, we examine how elements of social and material environments shape meaningful everyday practices of care outside the home. Drawing from the literature on materialities of care, we examine three everyday activities: eating out, going to the cinema and shopping. Maintaining such activities in public is part of keeping on with normal family life, but they can also expose individuals to stigmatising judgements by outsiders. Despite this, a complex array of material things, people, places and immaterial qualities such as ambience can come together to make care possible. We suggest there is a need to promote a less rigid, more flexible ethos in these public places. Through a recognition of the relational materialities of care, public spaces could do more to become places where people living with dementia can continue to feel connected and included.
痴呆症友好社区是国际政策制定的重点,旨在解决痴呆症患者的社会排斥问题。然而,什么是痴呆症友好社区并没有得到很好的定义和理解。在本文中,我们探讨了在痴呆症友好社区中实施护理的构成要素,重点关注商业、休闲公共场所。通过对英格兰东北部护理人员的定性访谈,我们研究了社会和物质环境的要素如何塑造家庭以外有意义的日常护理实践。借鉴护理物质性的文献,我们考察了三种日常活动:外出就餐、看电影和购物。在公共场所维持这些活动是保持正常家庭生活的一部分,但它们也可能使个人容易受到局外人的污名化判断。尽管如此,一系列复杂的物质事物、人员、地点和氛围等非物质质量可以共同促成护理的实现。我们认为,有必要在这些公共场所倡导一种不那么僵化、更灵活的风气。通过认识到护理的关系物质性,公共场所可以做更多的工作,使患有痴呆症的人能够继续感到联系和包容。